| NPI | 1508197161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: IN 01026154A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01026154A) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |